Import Eligibility Patient Detail

EMILIA IVANOVA

CIN: SY03790R

Active
Date of Birth: April 24, 1965
Gender: Female
Created: July 26, 2026
Address: 2912 BRIGHTON 12TH STREET 6E , BROOKLYN, NY 11235
Last Updated: July 26, 2026 10:06 AM

Latest Eligibility Snapshot

Date of Service: July 26, 2026
Medicaid Eligible: Yes
Coverage: July 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification: Yes — Oct. 31, 2026
NHTD: No
Code 60: No
Surplus: Yes

Eligibility History

Date of Service Status Recert NHTD Code 60 Surplus Import 271
July 26, 2026 Eligible Expert Census Referrals - CIN_IMPORT.csv View